| NPI | 1497983092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 2440-23) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085003914) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2023-03-07 |