| NPI | 1669109278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IN 10003524A) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363A00000X Physician Assistant (Licence: IN 10003524A) | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2024-10-08 |