| NPI | 1528578176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002327A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191656A) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2024-05-08 |