| NPI | 1023776531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003610A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.008671) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2023-11-03 |