| NPI | 1558461772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002807) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 085002807) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-05-23 |