NPI | 1306678057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004790A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085010354) |
Enumeration Date | 2024-08-19 |
Last Update Date | 2025-06-20 |