| NPI | 1548820889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011789) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: DC PA031605) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-08-20 |