| NPI | 1447209473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: UT 7047461-1206) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MO 2005000370) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-08-04 |