NPI | 1891019196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-003633) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085003633) |
Enumeration Date | 2010-03-16 |
Last Update Date | 2021-04-23 |