| NPI | 1659981439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10005372A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085012054) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2026-07-02 |