NPI | 1649531054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006628) |
Additional Taxonomies | 170300000X Genetic Counselor, MS |
Enumeration Date | 2012-06-01 |
Last Update Date | 2018-09-20 |