NPI | 1356091557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003787A) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10003787A) |
Enumeration Date | 2022-03-28 |
Last Update Date | 2024-08-27 |