NPI | 1316692007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-009333) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-02-21 |
Last Update Date | 2023-03-15 |