| NPI | 1538354162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5456) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-003032) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2021-08-12 |