| NPI | 1073892212 | 
|---|---|
| Former Name | AMI DILIP TRIVEDI | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA19824)  | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.002867)  | 
| 363A00000X Physician Assistant (Licence: NY 011008)  | |
| Enumeration Date | 2011-08-05 | 
| Last Update Date | 2021-12-14 |