| NPI | 1922496108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC TL2247) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: FL 9113235) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2023-07-05 |