NPI | 1265812739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002289A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007135) |
363A00000X Physician Assistant | |
Enumeration Date | 2015-05-31 |
Last Update Date | 2023-06-19 |