| NPI | 1346421864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003988A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 116362) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2024-02-02 |