| NPI | 1346707841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002814A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601008969) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2023-10-19 |