| NPI | 1467480905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085000984) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-000984) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-03-07 |