| NPI | 1235861675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-009287) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2023-04-21 |