| NPI | 1548712722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 10192) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2023-03-22 |