| NPI | 1801630603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 342333) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: LA 342333) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2026-06-01 |