| NPI | 1184487548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085010266) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.010266) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-02-02 |