| NPI | 1881366359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008483) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200001300) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-02-08 |