| NPI | 1477528073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IA 001272) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085001740) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-04-26 |