| NPI | 1346862984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008546) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IL 085.008546) |
| 363AM0700X Physician Assistant Medical | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2023-05-17 |