| NPI | 1508587148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009268) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004739A) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-02-11 |