| NPI | 1427145317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001216A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085-002534) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-06-01 |