| NPI | 1972492981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-1441) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PT2025-085) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-11-05 |