| NPI | 1689141806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011018) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14905) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2025-07-23 |