| NPI | 1336335934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2192-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003212) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2023-11-03 |