NPI | 1629882071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010940) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 085.010940) |
Enumeration Date | 2025-02-05 |
Last Update Date | 2025-05-06 |