| NPI | 1558583468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.002527) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002527) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-03-17 |