| NPI | 1588104350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NH 1916) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60904526) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2022-10-14 |