| NPI | 1205210861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002344A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005550) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2024-02-12 |