| NPI | 1457863045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006424) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 085.006424) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2022-08-24 |