| NPI | 1255899456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IN 10002496A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002496A) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2022-08-11 |