| NPI | 1679369185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 5842) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC MPA.5842) |
| Enumeration Date | 2025-04-19 |
| Last Update Date | 2026-02-13 |