| NPI | 1659801884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006245) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085006245) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-12-12 |