| NPI | 1821714106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-12790) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-12790) |
| 363A00000X Physician Assistant (Licence: NC 0010-12790) | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-05-22 |