| NPI | 1134418270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 1635) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 1635) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2022-07-20 |