| NPI | 1528695426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 100204) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007381) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2021-04-28 |