| NPI | 1376999250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085005826) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10004384A) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2026-09-11 |