| NPI | 1063524023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002673) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004737) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-08-19 |