| NPI | 1407431893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-008132) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007891) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2026-02-20 |