| NPI | 1043696180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085.006244) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA in process) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2023-11-06 |