| NPI | 1427503721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ID PA-1408) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 4883) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-07-03 |