| NPI | 1639424476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005819) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002309) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2025-11-14 |