| NPI | 1447807326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8843) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 8843) |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2024-10-20 |