| NPI | 1487523627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9121072) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: FL G245553999050) |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2026-01-29 |