NPI | 1801913769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.005710) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 096002659) |
Enumeration Date | 2007-03-24 |
Last Update Date | 2023-09-28 |