| NPI | 1134616584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10005009A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601011128) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-10-14 |