| NPI | 1437157930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IA 01153) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2024-08-28 |