| NPI | 1437115706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004332) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002200) |
| 363AM0700X Physician Assistant Medical (Licence: DC PA030489) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-02-02 |