| NPI | 1336396233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001013A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 99033597A) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2021-01-18 |