| NPI | 1538870431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.009396) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004252A) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2025-03-13 |