| NPI | 1700360179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006592) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2018038623) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2025-07-31 |