| NPI | 1598032153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001363A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 99049555A) |
| 363A00000X Physician Assistant (Licence: IN 10001363A) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2024-02-16 |