| NPI | 1518402767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10005087A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9110096) |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2026-04-07 |