| NPI | 1114419280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 13014) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA PA13014) |
| 363AS0400X Physician Assistant, Surgical (Licence: MD C0007515) | |
| 363AS0400X Physician Assistant, Surgical (Licence: WA PA60839895) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2026-03-27 |