| NPI | 1184781130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10000919A) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IN 10000919A) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2022-08-26 |