| NPI | 1831446772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6287) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004384) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2020-09-03 |