| NPI | 1295449767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9116843) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9116843) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-04-09 |