| NPI | 1992568737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: GA 12133) |
| Additional Taxonomies | 208800000X Urology (Licence: GA 12133) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-04-26 |