| NPI | 1912656067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NC 0010-12150) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12150) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-09-09 |