| NPI | 1730690405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061415) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-006366) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2022-05-03 |