| NPI | 1528551009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MA059790) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-08-21 |