| NPI | 1801506514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011234) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA9175) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2025-07-18 |