| NPI | 1396842837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 103524) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 103524) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2008-12-03 |