| NPI | 1164899720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-05897) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-05897) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2024-03-21 |