| NPI | 1144574997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IA 002351) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 002351) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2024-06-13 |