| NPI | 1982706040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001398A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 9374) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2017-04-13 |