| NPI | 1497189468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3865-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004795) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2021-12-02 |