| NPI | 1376064972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002234A) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10002234) |
| 363AM0700X Physician Assistant, Medical (Licence: IN 10002234A) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2024-06-25 |