NPI | 1720742851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085.008628) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 085.008628) |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2021-10-25 |
Last Update Date | 2022-05-04 |