| NPI | 1053782854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA057927) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MA057927) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2024-11-18 |