NPI | 1548534977 |
---|---|
Former Name | DANIELA CVETKOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005467) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
363AM0700X Physician Assistant, Medical (Licence: IL 085005467) | |
Enumeration Date | 2012-03-02 |
Last Update Date | 2022-08-30 |