| NPI | 1033508726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C0005662) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: DC PA031416) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2025-10-02 |