| NPI | 1801345749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002132A) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2021-11-30 |