| NPI | 1598879884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.001333) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22806) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-10-24 |