NPI | 1558777326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001688A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 99062696A) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2014-11-12 |