| NPI | 1477826329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 22360) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2013-01-08 |