| NPI | 1588118277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.009448) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 3846-23) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2023-05-19 |