| NPI | 1093359150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009213) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2020028648) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2023-02-13 |