| NPI | 1306153432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-18647) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003834) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2021-06-29 |