NPI | 1609492495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002984A) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-06-17 |
Last Update Date | 2020-09-28 |