NPI | 1144545237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003678) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-003678) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2021-12-13 |