| NPI | 1083738595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA01341) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-000746) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-11-05 |