| NPI | 1457097115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110010038) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0110010038) |
| 208200000X Plastic Surgery (Licence: VA 0110010038) | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2025-06-26 |