| NPI | 1326858127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 71016252A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28225359A) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-28 |