| NPI | 1932709706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-008117) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085008117) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-10-09 |