| NPI | 1972073286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8246) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 085-006840) |
| 363A00000X Physician Assistant (Licence: IL 085.006840) | |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2021-12-09 |