| NPI | 1295429777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 11727) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-04-26 |