NPI | 1124803184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010868) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004693A) |
Enumeration Date | 2023-08-29 |
Last Update Date | 2025-01-03 |