| NPI | 1962026450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085008407) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004381A) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-05-15 |