| NPI | 1437301363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: HI AMD-401) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 0122061) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2023-08-24 |