| NPI | 1508637489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004323A) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: IN NA) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-03-27 |