| NPI | 1902472111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085010484) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2024-07-10 |