| NPI | 1366626954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4555) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DC PA030517) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2010-06-04 |