| NPI | 1063052132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09704) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NC 0010-09704) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2025-01-12 |