| NPI | 1942612668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005058) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL XS3247245) |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085-005058) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL XS3247245) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 085-005058) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-01-12 |