| NPI | 1598137085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-005705) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.005705) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2021-04-27 |