| NPI | 1922874825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.011615) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 134356) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2025-10-29 |