| NPI | 1881106359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-008855) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 10562585-1206) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2023-10-16 |