| NPI | 1588249684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 9226) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085008150) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2025-04-25 |