| NPI | 1598215022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006035) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA61936) |
| 363A00000X Physician Assistant (Licence: UT 14155593-1206) | |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2024-12-27 |