| NPI | 1306806997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 1762-023) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1762-023) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2015-01-28 |