| NPI | 1134141591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002913A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001627) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-01-12 |