| NPI | 1427364926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002958A) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| 363AS0400X Physician Assistant, Surgical (Licence: KY PA2599) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2025-04-11 |