| NPI | 1700153954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-004221) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2021-11-07 |