| NPI | 1518740620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009877) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 1207302) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-09-15 |