| NPI | 1326539859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008311) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2021-12-15 |