| NPI | 1154846327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NH 1505) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-07569) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2019-08-23 |