| NPI | 1275592578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085001371) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002284) |
| 363A00000X Physician Assistant (Licence: NY 0063861) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-12-30 |