NPI | 1598193807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001618A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001618A) |
363AS0400X Physician Assistant, Surgical (Licence: IL 085004886) | |
Enumeration Date | 2013-10-23 |
Last Update Date | 2024-07-18 |