| NPI | 1366692238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: AZ 4956) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IL 085000908) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2017-05-10 |