| NPI | 1679877328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 007056) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003939) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2014-09-16 |