| NPI | 1285281386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007088) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 085.007088) |
| 363A00000X Physician Assistant (Licence: IN 10003059A) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2022-11-15 |