NPI | 1245626001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.005885) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.005885) |
Enumeration Date | 2015-04-08 |
Last Update Date | 2019-06-12 |