NPI | 1508589953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009472) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 085.009472) |
Enumeration Date | 2022-09-21 |
Last Update Date | 2024-12-23 |