NPI | 1346510898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001728A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 99063492A) |
363AM0700X Physician Assistant, Medical (Licence: IN 99063492A) | |
363AM0700X Physician Assistant, Medical (Licence: VA 0110003697) | |
Enumeration Date | 2011-12-30 |
Last Update Date | 2025-02-13 |