NPI | 1811350895 |
---|---|
Former Name | ISA ILANA WISMANN-HORTHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.152742) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2022-04-28 |