| NPI | 1629581855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006452) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085006452) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2025-03-06 |