| NPI | 1497798573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 4619) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA18260) |
| 363A00000X Physician Assistant (Licence: AZ 4619) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-07-23 |