| NPI | 1932240405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002907) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9110584) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-11-14 |