| NPI | 1851029623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9116409) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: FL NA) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2023-01-26 |