| NPI | 1255098539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009430) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9115056) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2023-02-27 |