NPI | 1912755372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004494A) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-05-10 |
Last Update Date | 2024-10-03 |