| NPI | 1447794920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00419100) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA17420) |
| 363AS0400X Physician Assistant, Surgical (Licence: TX PA17420) | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2024-11-11 |