| NPI | 1801441928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2019035876) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007316) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2023-12-15 |