| NPI | 1649222985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003592A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103632) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-06-29 |