| NPI | 1386076396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3618) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.004780) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2018-03-17 |