| NPI | 1124043138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17461) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA PA17461) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-11-26 |