| NPI | 1124659578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010605) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61041668) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2025-11-17 |