NPI | 1174757983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003354) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-003354) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2020-10-30 |