| NPI | 1447070453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.010746) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 8312-23) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-03-17 |