| NPI | 1215380209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005943) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004679A) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2025-01-16 |