NPI | 1497754634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.001704) |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 085.001704) |
363A00000X Physician Assistant (Licence: MO 2006028761) | |
Enumeration Date | 2005-07-19 |
Last Update Date | 2021-12-20 |