| NPI | 1598505489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085010636) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004491A) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-09-03 |