| NPI | 1972079705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011362) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060290) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2026-04-07 |