| NPI | 1982009296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 10767) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085009950) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2025-01-09 |