| NPI | 1780765016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10000617A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA200258) |
| 363A00000X Physician Assistant (Licence: IN 10000617) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-10-02 |