| NPI | 1790145126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.006492) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2023-03-31 |