| NPI | 1285886721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085003311) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 085-003311) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2021-11-18 |