| NPI | 1831765494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9118742) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085008156) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-10-10 |