| NPI | 1841813516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-008592) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085.008592) | |
| 363A00000X Physician Assistant (Licence: IL 085.008592) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2026-07-02 |