| NPI | 1710060033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10000681A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 1000681A) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-01-06 |