| NPI | 1700292950 |
|---|---|
| Former Name | RUTH ABRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008012) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 017381) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2021-08-24 |