| NPI | 1356961908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085008034) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-05-01 |