NPI | 1700270386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003634A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601008132) |
363A00000X Physician Assistant | |
Enumeration Date | 2015-03-23 |
Last Update Date | 2025-02-10 |