| NPI | 1447227053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: GA 003409) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: SC 1914) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2022-05-05 |