NPI | 1619616737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003738A) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 1190648) |
Enumeration Date | 2022-05-27 |
Last Update Date | 2024-12-13 |