| NPI | 1669200192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: GA pending) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |