| NPI | 1770779423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06957) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005574) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2019-01-05 |