NPI | 1538655865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006616) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 385.005087) |
Enumeration Date | 2018-07-10 |
Last Update Date | 2024-10-28 |