NPI | 1841989175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200001696) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085010553) |
Enumeration Date | 2023-05-03 |
Last Update Date | 2024-09-03 |