NPI | 1902528086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003815A) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-09-14 |
Last Update Date | 2022-10-28 |