| 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 |