| NPI | 1881253292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085007096) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2025-10-31 |