| NPI | 1598427239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-008531) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.007280RX) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2024-01-05 |