NPI | 1386045045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005751) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51832) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2019-11-12 |