| NPI | 1528041696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2002028066) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2009-06-09 |