| NPI | 1871063263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006835) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IL 085.006835) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2021-02-09 |