| NPI | 1568102952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008369) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0110008369) |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant Surgical (Licence: VA 0110008369) | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2024-07-13 |