| NPI | 1144353327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4361) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001837) |
| 363A00000X Physician Assistant (Licence: SC 2254) | |
| 363A00000X Physician Assistant (Licence: NC 0010-04861) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-08-08 |