| NPI | 1992453047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008865) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA063222) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2023-06-07 |