| NPI | 1649051103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004180A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.010109) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2024-02-13 |