| NPI | 1548318983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 13065) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.003238) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2026-04-23 |