NPI | 1336570456 |
---|---|
Former Name | EMILY ROSE ALMOG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C05292) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056633) |
363A00000X Physician Assistant (Licence: NJ 25MP00319400) | |
Enumeration Date | 2013-11-30 |
Last Update Date | 2022-12-15 |