| NPI | 1235737081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10003064A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003064A) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2025-11-17 |