| NPI | 1447371737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 627) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 020341) |
| 363A00000X Physician Assistant (Licence: OH 50001943) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2017-03-24 |