| NPI | 1184335028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011273) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601011986) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2025-10-06 |