| NPI | 1194086652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001337A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085006903) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2022-02-07 |