| NPI | 1043330210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA62096) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA05110) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2023-04-07 |