| NPI | 1215321880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8261) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-005334) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2022-11-25 |