| NPI | 1154098259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010626) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 027351) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-05-20 |