| NPI | 1851421820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085003587) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014405) |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085003587) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2019-05-30 |