| NPI | 1366808735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118138) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005757) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2024-02-25 |