| NPI | 1245630193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005097) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C07630) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2024-06-12 |