| NPI | 1629407366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004913) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14190) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2023-02-07 |