| NPI | 1568779668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02279) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 005070) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2020-03-18 |