| NPI | 1114969813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-001987) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2015-08-19 |