| NPI | 1326234253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1360) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003050) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2013-11-20 |