NPI | 1902373301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006882) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036.134552) |
Enumeration Date | 2018-10-24 |
Last Update Date | 2024-04-30 |