| NPI | 1952693616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA00632) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR PA00632) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2023-12-19 |