| NPI | 1396435855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-009700) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-10-16 |