| NPI | 1407874894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2240-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001924) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-03-10 |