| NPI | 1245288802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085001578) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 085001578) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-07-12 |