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 |