| NPI | 1992270540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006763) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.006763) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2025-06-12 |