| NPI | 1619622214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AL PA-1907) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2024-09-04 |