NPI | 1710551478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114259) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: FL PA9114259) |
Enumeration Date | 2021-05-18 |
Last Update Date | 2024-11-27 |