| NPI | 1073380556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-13750) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 0010-13750) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-03-06 |