| NPI | 1942746037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-007022) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9110078) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2024-02-21 |