| NPI | 1487060554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2559) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005159) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2022-03-08 |