| NPI | 1598193807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001618A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085004886) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2022-08-10 |