| NPI | 1912247974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002340A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10002340A) |
| 363A00000X Physician Assistant (Licence: NY 016422) | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2023-11-17 |