| NPI | 1124595236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006700) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085.006700) | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2021-06-23 |