| NPI | 1235727074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.008043) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA005510) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2022-08-05 |