| NPI | 1588754287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 003237) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 003237) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-06-27 |