| NPI | 1144846148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003048A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-10-07 |