| NPI | 1437893278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11029) |
| Additional Taxonomies | 208800000X Urology (Licence: GA 0000000) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-06-13 |