NPI | 1871745539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 238.000090) |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238.000090) |
246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: IL 238000090) | |
Enumeration Date | 2008-10-14 |
Last Update Date | 2018-10-04 |