NPI | 1932198322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085001262) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085001262) |
Enumeration Date | 2005-10-18 |
Last Update Date | 2025-08-27 |