| NPI | 1750732111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 3776-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 3776-023) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-07-03 |