| NPI | 1275845372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085.004464) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 005871) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2014-10-08 |