| NPI | 1033751169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085.010009) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164009188) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2023-10-15 |