NPI | 1386281434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62158) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007398) |
Enumeration Date | 2019-12-09 |
Last Update Date | 2024-06-05 |