| NPI | 1386956571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 4879) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002959A) |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2024-04-18 |