| NPI | 1861175929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2566) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: ID PACA-3519) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-09-14 |