NPI | 1902259120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 6390) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2016-07-22 |
Last Update Date | 2025-06-10 |