NPI | 1215196241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001000A) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 99032721A) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2023-03-21 |