| NPI | 1750719944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085004895) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 085004895) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2019-09-04 |