NPI | 1174220859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10003999A) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-02-13 |
Last Update Date | 2023-06-22 |