| NPI | 1275085615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007298) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA5937) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2020-08-14 |