NPI | 1417684382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010401) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003758A) |
Enumeration Date | 2022-08-02 |
Last Update Date | 2024-09-09 |