| NPI | 1912292269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002435A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5301005997) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-11-27 |