| NPI | 1467262873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C0010438) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0010438) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2026-07-22 |