| NPI | 1477180198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10003260A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AS0400X Physician Assistant, Surgical (Licence: DE C5-0001394) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2022-08-10 |