| NPI | 1063186278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA AA0003138424) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA AA0003138424) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |