| NPI | 1720479405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006473) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108423) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2023-07-26 |