| NPI | 1326067901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA PA16773) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA16773) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-08-27 |