| NPI | 1477043057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006584) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004579A) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2024-11-13 |