| NPI | 1023418738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004985) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005089) |
| 363A00000X Physician Assistant (Licence: IL PA.0004985) | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2023-05-10 |