| NPI | 1376753319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1230-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085000990) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-08-17 |