| NPI | 1477531150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.000355) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 085.000355) |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085000355) | |
| 363AS0400X Physician Assistant, Surgical (Licence: IL 085000355) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2021-12-07 |