| NPI | 1083248587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-007643) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2022-01-13 |