| NPI | 1053973727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003613A) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PA 207506) |
| 363A00000X Physician Assistant (Licence: PA OA005575) | |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA062365) | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-08-23 |