| NPI | 1578000568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002167A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002167B) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2022-06-02 |