| NPI | 1497754634 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.001704)  | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 085.001704)  | 
| 363A00000X Physician Assistant (Licence: MO 2006028761)  | |
| Enumeration Date | 2005-07-19 | 
| Last Update Date | 2021-12-20 |