| NPI | 1003153032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011574) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9115553) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2025-08-27 |