NPI | 1275195851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008018) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085008018) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-07-03 |
Last Update Date | 2023-11-27 |