| NPI | 1326392481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004877) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1682) |
| Enumeration Date | 2012-10-28 |
| Last Update Date | 2019-01-02 |