| NPI | 1750685673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2444) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA975) |
| 363AS0400X Physician Assistant, Surgical (Licence: AL PA975) | |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2025-02-26 |