| NPI | 1104150382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003601) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-003601) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2021-12-16 |