| NPI | 1285177998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085.006061) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C07079) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2022-06-21 |