| NPI | 1598745275 |
|---|---|
| Former Name | SHRUTI P GANDHI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002354) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1866-023) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-11-18 |