| NPI | 1447884150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002954A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9112524) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2021-03-09 |