| NPI | 1689922056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2028) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 99056427A) |
| 363A00000X Physician Assistant (Licence: IN 10001514A) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2018-03-17 |