| NPI | 1801376090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6688) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 4223) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2022-10-10 |