| NPI | 1487204491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002849A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA 1168363) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2021-06-11 |