| NPI | 1801836499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6098) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 791) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-07-09 |