| NPI | 1598758500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001127A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3023) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2022-11-15 |