| NPI | 1548009913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-011225) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9118709) |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2025-08-05 |