| NPI | 1316431703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010390) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 8811) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-05-30 |