| NPI | 1821166505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085-002283) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 385-001166) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-05-13 |