| 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 |