| NPI | 1992088199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001330A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 99048717A) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2016-06-24 |