| NPI | 1750488813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA052118) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MA052118) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-09-11 |