| NPI | 1477056349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110716) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: FL PA9110716) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |