| NPI | 1730133356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003001) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL IL) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-08-08 |