| NPI | 1306919667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NH 0850) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA 2186) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-07-17 |