| NPI | 1215638515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL 1407824097) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |