| NPI | 1306215934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 079973) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-005693) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2024-04-25 |