NPI | 1013389451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06032) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085011414) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2025-10-02 |