| NPI | 1336614882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085-006879) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2024-07-03 |