| NPI | 1013484807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010529) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA56063) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2024-08-05 |