| NPI | 1538644273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL Pending) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601012349) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-07-25 |