| NPI | 1184825598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA052751) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MA052751) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-11-13 |