NPI | 1144941857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5780-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085009234) |
Enumeration Date | 2022-09-09 |
Last Update Date | 2024-09-09 |