| NPI | 1407577737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003773A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 1191147) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-10-10 |