| NPI | 1851730717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004948) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055939) |
| 363A00000X Physician Assistant (Licence: DE C5-0000857) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2016-07-19 |