| NPI | 1285060061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.005285) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA23259) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2015-06-18 |