NPI | 1902007024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002427) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6833) |
363AM0700X Physician Assistant, Medical (Licence: IL 085.002427) | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2023-09-19 |