| NPI | 1235195835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 1497-23) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 1497) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2022-11-08 |