| NPI | 1386918423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106320) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 9106320) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2024-07-16 |