| NPI | 1255970489 |
|---|---|
| Former Name | ANMOL G MANCHALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12107) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 13330) |
| 363AM0700X Physician Assistant, Medical (Licence: MN 13330) | |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2022-03-15 |