| NPI | 1487060547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200718) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: LA PA.200718) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2019-03-15 |