NPI | 1144861394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007103) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 085007103) |
Enumeration Date | 2019-09-30 |
Last Update Date | 2024-04-26 |