| NPI | 1437753316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9113499) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-08-30 |