| NPI | 1437276482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: PA 363AM0700X) | |
| 363AM0700X Physician Assistant, Medical | |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA053358) | |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085-002945) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-07-30 |