| NPI | 1891020913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004302) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN PA1777) |
| 363A00000X Physician Assistant (Licence: TN PA1777) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2020-01-14 |