| NPI | 1376969527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NH 1008) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA PA5477) |
| 363AS0400X Physician Assistant, Surgical (Licence: 1008) | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2020-03-12 |