| NPI | 1497451314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IN E5Z6Y6E3) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN E5Z6Y6E3) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-06 |