| NPI | 1417538745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085012017) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 59266) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2026-05-01 |