NPI | 1548820889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: DC PA031605) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0011789) |
Enumeration Date | 2019-06-18 |
Last Update Date | 2022-11-22 |