| NPI | 1508474370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011097) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA7758) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2025-08-13 |