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 |