| NPI | 1174263727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009067) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003929A) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-02-16 |