NPI | 1962818666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001676A) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10001676A) |
Enumeration Date | 2014-07-02 |
Last Update Date | 2022-03-09 |