| NPI | 1144338740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-00926) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-00926) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2024-08-28 |