| NPI | 1417266586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085004414) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085004414) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2017-09-18 |