| NPI | 1659031672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-1097) |
| Additional Taxonomies | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: HI 1097) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2022-02-22 |