| NPI | 1811517386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007995) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.007995) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2023-03-07 |