| NPI | 1871137026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085011199) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15827) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2025-11-05 |