NPI | 1215811963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6506) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 6506) |
Enumeration Date | 2025-08-05 |
Last Update Date | 2025-08-20 |