| NPI | 1932592375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-05628) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085010803) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2025-06-26 |