NPI | 1972054708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002139A) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10002139A) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2023-06-30 |