| NPI | 1336872845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 7449) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 7449) |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2025-04-11 |