| NPI | 1457672743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 002115) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003756) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2014-06-30 |