| NPI | 1598056160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101267477) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003597) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2024-07-01 |