| NPI | 1649890559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007979) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-05-02 |