| NPI | 1043857493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008010) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2020005533) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2023-11-27 |