NPI | 1366758096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001850A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001850A) |
363AS0400X Physician Assistant, Surgical (Licence: IL 085.003768) | |
Enumeration Date | 2010-08-18 |
Last Update Date | 2024-05-08 |