| NPI | 1386146207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010030) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 008719) |
| 363A00000X Physician Assistant (Licence: FL 9112305) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-10-24 |