| NPI | 1700924040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD COOO2389) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003019) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-03-07 |