NPI | 1396363644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007813) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-07-13 |
Last Update Date | 2022-08-03 |