NPI | 1023635687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008036) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-06-30 |
Last Update Date | 2022-12-06 |