| NPI | 1528532587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08790) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 1140884) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2022-08-18 |