NPI | 1164070884 |
---|---|
Former Name | ELZBIETA MADEJ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.007145) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-08-27 |
Last Update Date | 2022-11-18 |