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 |