| NPI | 1023251915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-003573) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA20299) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2018-10-19 |