| NPI | 1821878638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117963) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: FL 9117963) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-03-06 |