NPI | 1881066272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008615) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9109071) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2024-10-18 |