| NPI | 1437300365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 4621) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO 3001) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2019-04-29 |