| NPI | 1003994104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-000712) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085 000712) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-01-15 |