| NPI | 1447121066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10005064A) |
| Additional Taxonomies | 208800000X Urology (Licence: OR 226611) |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-11-18 |