| NPI | 1689837627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107156) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003237) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2013-10-15 |