| NPI | 1689144164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006841) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.006841) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2023-03-07 |