| NPI | 1053145219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-011738) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085011738) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2025-12-29 |