| NPI | 1184918161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001303A) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 99047443A) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2020-11-30 |