| NPI | 1417684382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010401) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003758A) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-09-09 |