| NPI | 1346521770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-003842) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.003842) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2018-02-28 |