| NPI | 1568004463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007294) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.007294) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2024-06-13 |