| NPI | 1295406312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10673) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 10673) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-04-26 |