| NPI | 1043688690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005470) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IL 085005470) |
| 363AS0400X Physician Assistant Surgical (Licence: IL 085005470) | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2022-08-29 |