| NPI | 1093089120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004984) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA00629) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2014-09-11 |