| NPI | 1558810713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002186A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2022-10-10 |