| NPI | 1689008542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110004359) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: VA 0110004359) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2024-10-16 |