| NPI | 1073367983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010482) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-12-31 |