| NPI | 1427288836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MT 22661) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OR PA130034) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2025-11-16 |