| NPI | 1649287202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA054957) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MD C002515) |
| 363A00000X Physician Assistant (Licence: MD C02515) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-03-28 |