| NPI | 1528137890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NH 1126) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 004290-1) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-02-17 |