| NPI | 1669949848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006786) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002912A) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2020-10-14 |