| NPI | 1154334258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002557) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1269) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2023-10-11 |