| NPI | 1275844656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008687) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601005791) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2025-01-24 |