| NPI | 1336239441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 1740) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1740) |
| 363A00000X Physician Assistant (Licence: IN 10000561) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-08-10 |