| NPI | 1265735286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001244A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3109) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2025-05-06 |