| NPI | 1932335627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IL 085.003291) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 085003291) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2021-09-15 |