NPI | 1346521770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-003842) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.003842) |
Enumeration Date | 2011-08-30 |
Last Update Date | 2018-02-28 |