| NPI | 1598398026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008469) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9114799) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2025-05-19 |