| NPI | 1033754510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061205) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MA061205) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2022-07-27 |