| NPI | 1336897776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.009282) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-12-30 |