| NPI | 1316311517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 4494) |
| Additional Taxonomies | 208800000X Urology (Licence: CO 4494) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2023-06-12 |