| NPI | 1487478533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14329) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NC 1220841) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-01-27 |