| NPI | 1285180430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5332) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005942) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2023-08-09 |