| NPI | 1740913193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009790) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004316A) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2024-03-12 |