| NPI | 1306678057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004790A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085010354) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-06-20 |