| NPI | 1841841822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10004387A) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 1167615) |
| Enumeration Date | 2019-09-22 |
| Last Update Date | 2024-06-06 |