| NPI | 1023203189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MA PA2406) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA 100601T) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2014-10-17 |