NPI | 1265574032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005609) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014072) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2018-07-25 |