| NPI | 1497363816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061712) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA OA005302) |
| 2086S0127X Surgery, Trauma Surgery (Licence: PA MA061712) | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-01-20 |