NPI | 1417787334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085010821) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-08-05 |
Last Update Date | 2024-10-28 |