NPI | 1033986708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004169A) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IN 10004169A) |
363AS0400X Physician Assistant Surgical (Licence: IN 10004169A) | |
Enumeration Date | 2023-12-04 |
Last Update Date | 2023-12-18 |