| NPI | 1386323491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9777) |
| Additional Taxonomies | 208800000X Urology (Licence: AZ 977) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |