| NPI | 1265512958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085001083) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-001083) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-12-08 |