| NPI | 1316068943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085001269) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10004395A) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2026-04-08 |