| NPI | 1407942485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 2315) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO pending) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-12-28 |