| NPI | 1578072989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07607) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NC 0010-07607) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2020-10-26 |