| NPI | 1083276695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.007094) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085007094) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2022-01-27 |