| NPI | 1316486459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006175) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-006175) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2025-01-13 |