NPI | 1811364896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005682) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-08-26 |
Last Update Date | 2020-06-17 |