NPI | 1679090971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10002308A) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-08-28 |
Last Update Date | 2022-07-21 |