NPI | 1891363933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003317A) |
Enumeration Date | 2021-06-15 |
Last Update Date | 2021-08-12 |