| NPI | 1255669297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118922) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085003606) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2024-12-16 |