| NPI | 1699137869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003793A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005787) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-12-09 |