| NPI | 1730348558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003087) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-003231) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2022-07-25 |