| NPI | 1487881785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC TL1421) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2022-01-07 |