| NPI | 1154822468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07931) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 0010-07931) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2026-03-31 |