| NPI | 1497774285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10000112A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10000112A) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-05-23 |