| NPI | 1629641691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008672) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003885A) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-06-16 |