| NPI | 1386285914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10433) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: GA 10433) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2021-11-24 |