| NPI | 1154935989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NE 2540) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2025-10-30 |