| NPI | 1356896617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.011230) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 53657) |
| 363A00000X Physician Assistant (Licence: MD C0010069) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2025-08-06 |