| NPI | 1275654071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001356A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002630) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-03-13 |