| NPI | 1255049086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010683) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085010683) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2025-05-28 |