| NPI | 1881314615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9245) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085010977) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-05-07 |