| NPI | 1902007024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002427) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6833) |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085.002427) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-09-19 |