| NPI | 1881271971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7181) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085008998) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-01-30 |