| NPI | 1073924072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007562) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002904A) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-09-25 |