| NPI | 1437401718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-004261) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085004261) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2021-04-30 |