| NPI | 1346238466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010508) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056282) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2024-12-05 |