| NPI | 1720631559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007117) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 085007117) |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2019-08-27 |