| NPI | 1396173019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA056394) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MA056394) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2022-07-21 |