| NPI | 1386536167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10005063A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN ME0069410) |
| 363A00000X Physician Assistant (Licence: IN 10005063B) | |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-11-21 |