NPI | 1699786806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 7210) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085000314) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2023-05-23 |