| NPI | 1740077270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 1210262) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: VA 1210262) |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-06-23 |