| NPI | 1124504675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: GA 8877) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: GA 8877) |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2024-04-26 |