| NPI | 1174558399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-001876) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 085-001876) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-10-19 |