| NPI | 1336283399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 100996) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 100996) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-06-11 |