| NPI | 1295477578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008793) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.008793) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-07-18 |