| NPI | 1275258824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: GA 12221) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2025-10-02 |