NPI | 1164533097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085002416) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002416) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2015-06-17 |