| NPI | 1427025923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4587) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 4587) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2022-08-08 |