| NPI | 1841715844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA54568) |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical (Licence: TX PA17095) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2023-09-17 |