| NPI | 1891019196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-003633) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085003633) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2021-04-23 |