| NPI | 1306364633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085006441) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085006441) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-04-26 |