| NPI | 1386375996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010073) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 030790) |
| 363A00000X Physician Assistant (Licence: NY 030790) | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2025-07-18 |