| NPI | 1972294742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004219A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-04-03 |