| NPI | 1124803184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010868) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004693A) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2025-01-03 |