| NPI | 1346008240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA.0009402) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2025-09-30 |