| NPI | 1669225215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10004508A) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN PENDING) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-08-29 |