NPI | 1598332512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008363) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-06-08 |
Last Update Date | 2023-03-07 |