| NPI | 1386434751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.011932) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10005189A) |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2026-02-09 |