NPI | 1871063263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006835) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.006835) |
Enumeration Date | 2018-11-28 |
Last Update Date | 2021-02-09 |