| NPI | 1700401213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011378) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 1169388) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-10-30 |