| NPI | 1982619623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002341) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2006022432) |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085002341) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2013-05-16 |