| NPI | 1942824339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004439A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2020025676) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-11-12 |