| NPI | 1376330423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9120149) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-07-14 |