NPI | 1447030945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085010128) |
Enumeration Date | 2023-10-02 |
Last Update Date | 2023-12-07 |