| NPI | 1356536080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-002544) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 085-002544) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2015-07-27 |