NPI | 1487320057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003403A) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363A00000X Physician Assistant | |
Enumeration Date | 2021-08-23 |
Last Update Date | 2025-04-16 |