| NPI | 1598193807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001618A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001618A) |
| 363AS0400X Physician Assistant, Surgical (Licence: IL 085004886) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2024-07-18 |