NPI | 1497310056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.007663) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-05-08 |
Last Update Date | 2022-03-16 |