NPI | 1487808523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10931) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003321) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2023-05-22 |