NPI | 1619434602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006935) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9112021) |
Enumeration Date | 2019-02-26 |
Last Update Date | 2024-06-12 |