| NPI | 1588846125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: HI AMD-679) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: HI amd-679) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2022-07-05 |