NPI | 1821479189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009992) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164006332) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2024-04-03 |