| NPI | 1144556168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 1759) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN 1759) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2023-10-13 |