NPI | 1598215022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006035) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IL 085006035) |
Enumeration Date | 2016-10-07 |
Last Update Date | 2018-09-12 |