| NPI | 1801913769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.005710) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 096002659) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2023-09-28 |