NPI | 1891389508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7598-023) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085008204) |
Enumeration Date | 2021-02-23 |
Last Update Date | 2024-08-29 |