| NPI | 1356056188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085.009437) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10004851A) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2025-07-16 |