| NPI | 1154917383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC Pending) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: SC Pending) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |