NPI | 1518648690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.009932) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-07-31 |
Last Update Date | 2023-11-07 |