| NPI | 1811581747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009769) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007856) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2025-04-07 |