| NPI | 1134747959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002993A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-03-29 |