| NPI | 1841439494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C07070) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0011428) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2023-08-24 |