| NPI | 1194055632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009385) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105297) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2025-05-06 |