NPI | 1144931692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 1000385A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085010040) |
Enumeration Date | 2022-12-06 |
Last Update Date | 2025-09-18 |