| NPI | 1831160779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085001026) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041127252) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2014-07-29 |