NPI | 1306215934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 079973) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-005693) |
Enumeration Date | 2015-09-24 |
Last Update Date | 2024-04-25 |