| NPI | 1356508006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 3974) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 001245) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2020-11-05 |