| NPI | 1285601880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 002366) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MS PA00325) |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-10058) | |
| 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0004259) | |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106348) | |
| 363AS0400X Physician Assistant, Surgical (Licence: ID PA-1745) | |
| 363AS0400X Physician Assistant, Surgical (Licence: SC 1199) | |
| 363AS0400X Physician Assistant, Surgical (Licence: TN PA0000001672) | |
| 363AS0400X Physician Assistant, Surgical (Licence: TX PA09999) | |
| 363AS0400X Physician Assistant, Surgical (Licence: VA 0110007147) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NV PA2198) | |
| 363AS0400X Physician Assistant, Surgical (Licence: LA PA.200432) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2022-05-05 |