NPI | 1558307520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9101843) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002503) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2007-10-31 |