| NPI | 1821612532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008579) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085008579) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2023-04-29 |