| NPI | 1275700635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085002958) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.006113RX) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2019-12-09 |