| NPI | 1295915437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 19704) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 001982) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2013-12-09 |