| 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 | 2025-01-31 |