| NPI | 1083609002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0007548) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085009493) |
| 363A00000X Physician Assistant (Licence: PA MA001866L) | |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085.009493) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2024-06-19 |