| NPI | 1093347072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10005138A) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MI 5601009725) |
| 363AM0700X Physician Assistant, Medical (Licence: MI 5601009725) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2026-01-28 |