| NPI | 1922705037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: GA 211401) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 1266) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2025-02-18 |