| NPI | 1396806279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000891) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085002891) |
| 207P00000X Emergency Medicine (Licence: DE C5-0000632) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-12-05 |