| NPI | 1336862416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 001014266) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA063987) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2024-11-19 |