| NPI | 1447379466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9101193) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL PA9101193) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-06-27 |