| NPI | 1689826299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1489) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004361) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2024-11-05 |