| NPI | 1699457572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0010185) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.009835) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2025-10-01 |