| NPI | 1922395359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001385A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 029377) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-05-29 |