| NPI | 1588942775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004074) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA2936) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2024-10-31 |