NPI | 1083270938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007395) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL TBD) |
Enumeration Date | 2019-05-16 |
Last Update Date | 2024-09-11 |