| NPI | 1396077384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 3406) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0004135) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2022-07-21 |