NPI | 1821474958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA61459) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164005771) |
363A00000X Physician Assistant (Licence: IL 085006632) | |
Enumeration Date | 2015-07-30 |
Last Update Date | 2023-03-30 |