| 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 |