| NPI | 1689353179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004922A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2025-09-19 |