| NPI | 1497869689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 009234) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085002952) |
| 207P00000X Emergency Medicine (Licence: IL 085-002952) | |
| 207P00000X Emergency Medicine (Licence: MO 2008018559) | |
| 363A00000X Physician Assistant (Licence: IL 085002952) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-08-09 |