NPI | 1427489970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004951) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085004951) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2020-09-03 |