| NPI | 1457358913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001351A) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085002324) |
| 363AS0400X Physician Assistant, Surgical (Licence: IL 08502324) | |
| 363AM0700X Physician Assistant, Medical (Licence: IN 10001351A) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2014-12-02 |