| NPI | 1265812739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002289A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007135) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2023-06-19 |