| NPI | 1356617021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10005083A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22120) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2026-01-09 |