| NPI | 1679466510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085011318) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-07-15 |