| NPI | 1033578695 |
|---|---|
| Former Name | JANNY LOUIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 385004366) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005777) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2023-03-07 |