| NPI | 1841911674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-010070) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2024-04-09 |