| NPI | 1336569953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2491) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: TN 2491) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2024-09-06 |