| NPI | 1457910093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007181) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 5340-23) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2025-12-02 |