| NPI | 1811202146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085003909) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2021-03-17 |