| NPI | 1285190462 |
|---|---|
| Former Name | KEREN MARIAM PAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14522) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 4523) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2025-08-15 |