NPI | 1154904290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10003301A) |
Enumeration Date | 2021-05-05 |
Last Update Date | 2024-07-16 |