| NPI | 1528445319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085.005448) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 085005448) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-07-10 |