| NPI | 1558506238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.003363) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2009-01-30 |