| NPI | 1710317995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7348) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004845) |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085004845) | |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2022-12-07 |