| NPI | 1194340885 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003148A) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 1173892) | 
| Enumeration Date | 2020-06-09 | 
| Last Update Date | 2024-08-15 |