| NPI | 1134381106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9104617) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PAT9104617) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2025-06-20 |