| NPI | 1598041402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001374A) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2019-08-05 |