| NPI | 1740389493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 0385000369) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IL 0385000369) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-09-08 |