NPI | 1124540414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002247a) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 99080531A) |
Enumeration Date | 2017-07-09 |
Last Update Date | 2023-11-27 |