| NPI | 1831582055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005396) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL MU7403051) |
| 363A00000X Physician Assistant (Licence: IL 385004276) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2026-04-13 |