| NPI | 1952921462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6294) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085008084) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-02-11 |