| NPI | 1790786465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-002139) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085002139) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2014-06-23 |