| NPI | 1629803515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004550A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 0000000) |
| 208D00000X General Practice (Licence: IN 10004550A) | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2025-01-15 |