| NPI | 1285744623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003677A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA 18027) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-05-22 |