| NPI | 1023444650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 3843) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3843) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2022-03-22 |