| NPI | 1316327877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA 9108711) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005564) |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2023-09-01 |