NPI | 1134141591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002913A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001627) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2024-01-12 |