| NPI | 1881211613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4620) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-008492) |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2024-08-07 |