| NPI | 1942960034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011288) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA063291) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2025-10-02 |