| NPI | 1851988232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009731) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: DC PA031914) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2023-09-08 |