| NPI | 1417088071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-002589) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA MA053428) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-03-15 |