| NPI | 1427339597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002837A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601006095) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2023-05-01 |