| NPI | 1326178138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TN 1494) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207P00000X Emergency Medicine (Licence: TN 1494) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-10-24 |