| NPI | 1902561020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003490A) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2025-11-07 |