| NPI | 1760048318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009118) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA57752) |
| Enumeration Date | 2019-05-18 |
| Last Update Date | 2022-12-07 |