| NPI | 1326457920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112371) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005098) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2020-03-12 |