| NPI | 1932147857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1354-023) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 85004252) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-04-01 |