| NPI | 1336775428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007762) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IL 085.007762) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2024-09-12 |