| NPI | 1467906446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: TX 05-100) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2025-07-14 |