NPI | 1538354162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5456) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-003032) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2021-08-12 |