NPI | 1306668629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 085010884) |
Enumeration Date | 2024-10-28 |
Last Update Date | 2025-01-08 |