| NPI | 1700475951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10003323A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2024-11-07 |