| NPI | 1619853934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-15610) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NC 0010-15610) |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-11-24 |