| NPI | 1023552189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2886) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA PA5979) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2024-10-23 |