| NPI | 1629877006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 8326-023) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085011122) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2026-01-06 |