| NPI | 1033691191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006778) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2022000534) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2022-11-30 |