| NPI | 1285151977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10002279A) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2021-11-30 |