| NPI | 1932522323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004930) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001628A) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2021-05-14 |