| NPI | 1518368166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085005172) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001982A) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2022-01-31 |