| NPI | 1073151882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007668) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2024-06-05 |