| NPI | 1396994521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: AL TA 1674) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: AL PA.613) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2019-01-29 |