| NPI | 1174617773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: UT 264922-3102) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: UT 264922-3102) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-10-04 |