| NPI | 1144496134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002454A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030466) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2020-12-01 |