| NPI | 1124799929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009712) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9115016) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-10-31 |