| NPI | 1114572872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085.007151) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601010923) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2023-09-19 |