| NPI | 1316331408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006033) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AR PA-616) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2016-11-28 |