| NPI | 1396922936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111849) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085002280) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2021-03-18 |