| NPI | 1598746042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9100671) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9100671) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2015-03-25 |