| NPI | 1093522666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004759A) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-02-25 |