| NPI | 1750808127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006565) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6894) |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2021-11-17 |