NPI | 1801170063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001324A) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001324A) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2020-02-27 |