| NPI | 1609487065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IN 10003026A) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 10003026A) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2021-02-23 |