NPI | 1215645585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.009050) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IL 085.009050) |
Enumeration Date | 2022-11-07 |
Last Update Date | 2024-04-23 |