| NPI | 1346494424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C04044) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C04044) |
| Enumeration Date | 2008-11-16 |
| Last Update Date | 2024-10-16 |