| NPI | 1376137257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011198) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA062283) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2025-05-21 |